Mnemonic for Indications of Bronchoscopy in a child

Indications for Bronchoscopy in Upper Airway Problems in Children use the mnemonic
"SPECS-R"

S - severity of the airway obstruction - Parents subjective impression of the severity of the problem.
P - progression of the obstruction.
E - eating or feeding difficulties.
C - cyanosis.
S - sleep apnea, especially with evidence of cor pulmonale.
R - radiologic abnormalities

See also this video

A PEANUT IN THE RESPIRATORY TRACT CAN CAUSE HUGE PROBLEMS.. WHEN IT IS NEGLECTED FOR WEEKS .... EVEN GREATER PROBLEMS